Magnitude and Determinants of Ocular Morbidities Among Persons with Diabetes in a Project in Ahmedabad, India

Vyas, U. K.; Khandekar, Rajiv; Trivedi, Nitin; Desai, Tejas; Danayak, Parul

doi:10.1089/dia.2009.0033

Cited by 11 publications

(6 citation statements)

References 26 publications

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“…In our study, we noted that persons with DR had significantly higher risk of impaired vision. This was also noted by Vyas et al (26). It is worth noting that even with DR, a large proportion of cases had excellent grade of visual acuity and could carry on their daily living activities with ease.…”

Section: Elshafei Et Alsupporting

confidence: 73%

Prevalence and Determinants of Diabetic Retinopathy among Persons ≥40 Years of Age with Diabetes in Qatar: A Community-Based Survey

Elshafei

Gamra

Khandekar

et al. 2010

European Journal of Ophthalmology

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Section: Elshafei Et Alsupporting

confidence: 73%

Prevalence and Determinants of Diabetic Retinopathy among Persons ≥40 Years of Age with Diabetes in Qatar: A Community-Based Survey

Elshafei

Gamra

Khandekar

et al. 2010

European Journal of Ophthalmology

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“…55 There have been a number of large population-based studies from several parts of India that have reported a prevalence of DR ranging from 10.5% to 22.6%, with the higher figures being reported in older studies (Table 4). 20,[56][57][58][59][60][61][62][63][64][65][66][67][68] The variation is partly due to differences in the definitions and classification systems used to record DR. There were no differences found among rural and urban populations.…”

Section: Diabetic Retinopathymentioning

confidence: 99%

Epidemiology of microvascular complications of diabetes in South Asians and comparison with other ethnicities

Gupta

Misra

2016

Journal of Diabetes

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Type 2 diabetes mellitus is widely prevalent in South Asians, and has a significant effect on health, as well as the economies of South Asian countries, particularly when the disease is associated with complications. There are certain characteristics associated with the South Asian phenotype that make South Asians especially prone to diabetes, as well as its complications. Microvascular complications cause considerable morbidity and mortality. There are significant differences in the epidemiology of microvascular complications between South Asians and people of other races. There is evidence of higher prevalence of nephropathy and retinopathy in South Asians compared with Caucasians; however, recent studies indicate that this trend seems to be leveling off. Importantly, diabetic neuropathy occurs less frequently in South Asians compared with Caucasians. These observations have important implications in managing South Asian patients with diabetes and microvascular complications.

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“…To calculate the sample size of this cross-sectional study, we assumed that the prevalence of glaucoma among diabetics was 14.6%. [ 5 ] To achieve 95% confidence intervals (CIs), 3% error margin and clustering effect of 1.5, we required 794 randomly selected type II diabetics. To compensate for the loss of data, an additional 5% was added to the sample size.…”

Section: Methodsmentioning

confidence: 99%

“…The prevalence of glaucoma in diabetics ranges from 4.96% to 14.6%. [ 4 5 ] However, geographic distribution and race can affect the association between glaucoma and diabetes. [ 6 7 ] To the best of our knowledge, there are no peer review papers documenting the magnitude of glaucoma among diabetics in the state of Maharashtra, India.…”

Section: Introductionmentioning

confidence: 99%

Magnitude and determinants of glaucoma in type II diabetics: A hospital based cross-sectional study in Maharashtra, India

et al. 2015

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Background:Glaucoma and diabetes have a common pathogenesis. We estimated the magnitude and determinants of glaucoma in adults with type II diabetes who presented to a tertiary level eye center in 2010.Study Type:A cross-sectional survey.Methods:Diabetes was diagnosed by history and measurement of blood sugar levels. Glaucoma was diagnosed by assessing optic disc morphology, visual fields, and intraocular pressure. Data were collected on patient demographics, clinical characteristics of diabetes and ocular status through interviews and measurements. The prevalence of glaucoma in diabetics was estimated, and variables were analyzed for an association to glaucoma. The 95% confidence intervals (CIs) were calculated. Statistical significance was indicated by P < 0.05.Results:The study cohort was comprised of 841 diabetics. The mean age of the cohort was 53.8 ± 10.7 years. There were 320 (38%) females. The prevalence of glaucoma was 15.6% (95% CI: 13.1-18.1). More than 75% of the diabetics had no evidence of diabetic retinopathy (DR). Half of the diabetics with glaucoma had primary open angle glaucoma. The presence of glaucoma was significantly associated to the duration of diabetes (Chi-square = 10.1, degree of freedom = 3, P = 0.001). The presence of DR was not significantly associated to the presence of glaucoma (odds ratio [OR] = 1.4 [95% CI: 0.88-1.2]). The duration of diabetes (adjusted OR = 1.03) was an independent predictor of glaucoma in at least one eye.Conclusions:More than one-sixth of diabetics in this study had glaucoma. Opportunistic screening for glaucoma during DR screening results in an acceptable yield of glaucoma cases.

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Magnitude and Determinants of Ocular Morbidities Among Persons with Diabetes in a Project in Ahmedabad, India

Abstract: The prevalence of DR was low. Long duration of diabetes, poor control of blood sugar, presence of nephropathy, and hypertension were associated with DR. Good vision could mislead about the severity of DR.

Cited by 11 publications

References 26 publications

Prevalence and Determinants of Diabetic Retinopathy among Persons ≥40 Years of Age with Diabetes in Qatar: A Community-Based Survey

Prevalence and Determinants of Diabetic Retinopathy among Persons ≥40 Years of Age with Diabetes in Qatar: A Community-Based Survey

Epidemiology of microvascular complications of diabetes in South Asians and comparison with other ethnicities

Magnitude and determinants of glaucoma in type II diabetics: A hospital based cross-sectional study in Maharashtra, India

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